Does The Sale Of Nonprofit Hospitals Threaten Health Care For The Poor

作者: Gary J. Young , Kamal R. Desai , Carol VanDeusen Lukas

DOI: 10.1377/HLTHAFF.16.1.137

关键词: Market shareHealth careInstitutionNursingBusinessCompetitive industryUncompensated CareCorporationMarketingWelfare

摘要: Much of the controversy over for-profit ownership in health care focuses on a recent wave acquisitions nonprofit hospitals by investorowned corporations. Nonprofits have been joining investor-owned corporations to obtain financial resources they need tomaintain their viability an increasingly competitive industry environment. Investor-owned see acquisition as opportunity build market share and expand provider networks. Through these acquisitions, are beginning penetrate new markets. An issue central is how hospital corporation affects community serves. long accused placing bottom line before community’s welfare. A specific concern that less willing than nonprofits provide services persons who unable pay for care. Several studies compared terms amount uncompensated provide, yet relatively little research has done examine communities affected when acquired corporation. Comparative suggest average more do counterparts, but this difference appears reflect locations where choose buy hospitals. Investorowned tend locate affluent communities. However, corporation, continues serve same community; only status institution changes. Thus, it important measure provision community, after acquisition. Here we hospitals’ We focus California between 1980 1992, because presence there.

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